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.�: F.� '-"=t i � - � � � . Not��e of State Tax �.ien 90��8� � � P�iil'1CL :1F 5�'Ai� YAx ��►�.r� � I�GLVidIUAL :[t.CUP�� AX � � � I� il�`�!� INitUI�t�: A��U3' 1f�l�R ALCtW4tirs R�t •�R TU ��t4�:St. hllli�r:i�5 ' S�C. 5��. lV��. 5�'34�15?�►1 LZUULt�.Y G 6 osTT�. J�! �'IACiC Fi��. �u��T• �vCl. 1�5�V�i��5 SPOUSti: 3LC. S�C. N0. ��G4U73'?y 1415 Nt:�ii.AStl.t ttG�t� APT 11:[ TAXlli3t.� YEAR 148F3 Gk/►N�u ISLAN�.► i1dE f�8801 LYEN N0. 5�v�)5�:�2�b r Ci]UNYY H�ll ; QA�� £iF NOi'I(.� t�4/ti3/9e � Q�'�E s�t= J355�SSMENT 12l�2�fi4 ' ' THiS i+it�TIC� u� STAT�_ i'AX �I�.N IS IS�U�� bY �N� t�ctsKA�KA U��AitiMt�.'�T OF' ` R£Y�NUE �0� 1 hUl�f IUi3At �TN�03�1� 1�AX PURSUAKI� TU tN� R�Vt�NU"t LAN� U� THE ' � STA?i OF N�BRASKA. N�ftCE: �5 HERE4sY GIV�t� TQ1AT �NGIYIC�UaI INCUA�L � T�1t�S INCLUDING P::NA4SIcS AhD INi'fR::STs WN�CH AFc �HOMN ci�LUM Af�S� UUE � �Rl7M THt TIIXPAYEi� SPEI:I�I:-fi� AHUVE AND �LMAit� eJHPA1L aFTE�^e U�MANU. , TNESE TAXES Cut�S7lTU.e A +�F_N iN TNd ��ut��T1� ;raR ��A��RiY ��UNGiN� T6 TH� TAXPAY�K uR iicfit•Ar�4k A�Q11e��ttG. � qirt�ii�iT �F iAX . . . . . . . . . . . . . . . . . . . . . . . d�12y.tIt3 � P+ct�l�LTY . . . . . . . . . . . . . . . . . . . . . . . . . . l�tt.95 � I'N�'��i•::S��£ t C�IMPUT�=e� i t� C�'+/�:3/9C) . . . . . . . . . . . . . . 244.G1 � � c. 7�OTAL A"�OUhT £;UL • • • • • • . . . « . . . . . . . . . . . ��533..96 % � I N�R�DY C�:Rt�rY TNAT �ht ��lct�R,�SKA u�PAKT(":��c�E�' Of .�ttY�+VU� h�1S ttltiPl.ItD � : itITN THi f��Yef�Ui: LAhiS G� TN_ .iT�tt �t= N�?rI�ASiIA Ii� THE. i�c.��RM1o+i�TI13H tlF � -� ; T�� AMOtJJ1it 5kiEJNN SG J;: s)U=� llftiU Thc �;iXi*l.'Yf�:t HAS t-,k.ii.rU i� PAY TMt - �%=� ; AMOUM�f' lj1�i A�T.ii t1E�'f.'�ND. Ti� TH1S htlt�C� :rF STATe i',A� LI�.N IS Ai� ' = ---- , tYTiascsnu nt •a� LLCCC�rt�s:: i �=u 7T _cauc_ 7r.� �c.a+tza,..c� rs.�c_ aa :nnTrv ,�c : . _ . _...._._..'_ ' _ '. .. �1+�st��'�rr�� vt f�)� ^_f • a_V�i��. 4i<1• �f ��.n�L-:i •i1 {�V��ZI�Vi •�tL. •f��YTA�f � M� ' ' --�-'. - ? T�IE ST�lTE�S �NT��c=S1' IN 7tl� AF�cC'�c1: Pi�CPLt;�Y OF" 7N:. TAXf'i�i(�R• , � �� , �s.,� � ,- �i,� .. ��i�ifN4Q�Q ... ..:... ...�::�:�.°...... � . .. - �l ��'T � _.. PR�i'AE?�f. S S�lwT1A?�UR� ilP�_ i��. � � � . �r�:� ��... �w�.. ... . ..:..... ....�:r:y�..... . � _ . � � AUTtiOF.I� 5��t�k i�R: �I�"!� LA tt . M� ,,�'_ � FC;�i GEIUtvTlc u�F�-I�i�iL� S U.,� �'` � � = :�'�: j . , � ; � � I7 � � �r � , ; � NEBRASKA OEFARTINEM OF REVENUE OFFlCES � � i —� ��f Ou haYf arv�r QoBStWns r@�rdnp��s ndiCe,pledso COnW�t(ho NeDraska DepaRr.:ent o!Reven�A.P O Boa 9a81 B.�'�COIn.Nebraska 69509•4818,or ar,}•ot tAe rCg'On�l ic�142C�C.�.,:x :rt t�oDraska you may al5o d�:t011 f:9s.yoi�r lGng d;5t3M:8�cE:3�umb2+and 840-742-741a tor ess�slaiw9 UNCOLN--(1�)171-5729 GRAND ISLANO—(308)381-5725 NOqTM PLAITE—(3W)532-823Q OM�F1A--(M!)�20/6 NORFOLK—(402)371•1620 SCOTTSBLUFF—(90q 632•120d NE6RAISISA DEPARTIMENT pF RE VENUE—VYhite and Canary COp;es TAXPAYER—Pink Copy�COUNTY—C,bIdMVOd Copy r-� �...+r...�. -- - - - - - ___.__ _ W_�� . - -- M� e•a3 �„•s� .--_ - :".YL ri'�R''A£�lEi? P?�S'I^..,.°.';&) ng �•p� L��'`: ;L?n Ta�niiiFtirl.�ii} Ya (iu�} 'I'� HE t�'Ii� C�t�iLZ 1�ITH � TH$ R�C,tIBTER 0! DEEDS. � THE DC3�tJME�1T(S? IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DTSTkk1'iStJT10N OF COPI�S: 'i+',H3TE: TO �E V�1I.IDATED BY THE Rs,GIST�R OF DE�DS 1,NU RETURNED TU �HE: � � � DEPARTMEN'I' OF' R�t7ENU�. I GOLDENROD: Ta RF. KEP'I' P.Y 'I'HE REGIS�EK O�' �EEDS. --� 3 � B2LLING 25 TO BE ONCE Fc.R MONTH ANU TNERE F7ILL $E NO F'RF-PAYM�NT OF FEF.S. � THANK Y4U FQR YOUR Ct�OPF,RATiON. . *: L_ �.J _ _ - ---.,_- - ----- _�- -_--- ---_______.... _._._._ ___--- -------_-- - - _----. .__..._,.�__._ �_:_.._... .. _. . . 'i'.- � °'a�� ,�.- ` j,r t+��-�` `. . . . • . .. _ ..+�-, ti>.��,_ .. - - -`_cn� _ "�- . _ . - . ` I(. — "' . __ ' " __ � . .:. - — -_ ;. . __ . ._._ . . _ ._ . . __ . . ' � ' � .. .. . _ .__ - ' - - . _ "_' . . � ..1 . .i,. -